Financial Hardship Scholarship Application

FDRS does not want financial hardship to keep anyone from attending our annual conference. As such, we are pleased to announce a limited number of financial hardship scholarships to offset registration fees for the 2018 FDRS conference in Dallas, Texas. The scholarships will be awarded based on financial need. The number of scholarships available is contingent on the amount of money raised for scholarship purposes.

The $175 early bird registration fee simply covers the costs of a three day (Friday evening, all day Saturday, and half day Sunday) conference. The registration fee covers a light reception on Friday, breakfasts on Saturday and Sunday and lunch on Saturday. We worked diligently to find a hotel with a reasonable rate ($119/night for a single/double) and with affordable transportation costs to the hotel. The $175 is less than most doctors’ office visits and you will get to hear from many doctors, therapists and other experts on lipedema and Dercum’s Disease as well as network with other patients who share similar life experiences.

Full scholarships

Attendees who earn 100% and under the federal poverty level (FPL) are eligible to apply for a full scholarship.

Partial scholarships

Attendees who earn between 101%-200% of FPL are eligible to apply for a partial scholarship.

Selection of scholarship winners

The number of scholarships available is contingent on the amount of money raised for scholarship purposes. Applicants with the most demonstrated financial need will receive priority for the available scholarship(s).

Payment plans

Payment plans are offered to those attendees who cannot pay for the full registration at one time. A sample payment plan: December 1 - $50, January 1 - $50, February 1 - $50, March 1 - $25. Please contact us if you wish to utilize this option.

Crowd Sourcing

A popular way to raise funds to attend the conference is asking your friends and family to donate through sources such as GoFundMe https://www.gofundme.com/.

Hotel and Travel Costs

The scholarships do not cover hotel and travel costs. We suggest posting on FDRS 2018 Conference Facebook page to find a roommate to share a hotel room to help defray costs. Southwest Airlines services Dallas/Love Field (DAL) and has a generous person of size travel policy: http://tinyurl.com/o7cc4ya

Confidentiality

The applications and information contained herein will be treated with absolute confidentiality. Only FDRS board members and appointed volunteers will have access to the applicants and will not disclose any information received through the scholarship process. We will not publish names publically of scholarship winners.

Deadline

All applications must be received by December 31, 2017 in order to be considered for the scholarships. Scholarship winners will be notified on or around January 15, 2018.

Qualifications

In order to provide scholarships to those most in need, we ask that applicants’ income be within the federal poverty level guidelines as outlined below:

Partial Scholarship

Persons in family - Maximum Annual Income

1 - $18,090 - $24,120

2 - $24,360 -$32,480

3 - $30,630 - $40,840

4 - $36,900 - $49,200

5 - $43,170 - $57,560

6 - $49,440 - $65,920

7 - $55,710 - $74,280

8 - $61,980 - $82,640

Full Scholarship

Persons in family - Maximum Annual Income

1 - $12,060

2 - $16,240

3 - $20,420

4 - $24,600

5 - $28,780

6 - $32,960

7 - $37,140

8 - $41,320

Name *

Name

First Name

Last Name

Address *

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Email Address *

Why are you requesting financial assistance? *

Please indicate your selection *

I am applying for a full scholarship (waived registration)

I am applying for a partial scholarship.

Indicate the amount you can contribute to offset the cost of registration. *

$

Acknowledgement *

This application is for the attendee only. Should you require financial assistance for a companion, the companion must also apply for for financial assistance.

Acknowledgement *

I acknowledge that the information given on this application is correct and complete. I understand that this information is considered confidential and will be used only for the purpose of evaluating financial need for a full or partial scholarship.

Thank you!

Hours

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